Individual provider Active NPI

John J Curley III, DMD

  • General Practice Dentistry
  • Belle Harbor, NY
National Provider Identifier
1881921096
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31091 Issued in NY
Practice address
561 Beach 133 Street
Belle Harbor, NY 11694-1417
Phone
(718) 634-5528
NPI assigned
Nov 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31091 NY Primary

Addresses

Primary practice location

561 Beach 133 Street
Belle Harbor, NY 11694-1417

Mailing address

561 Beach 133 Street
Belle Harbor, NY 11694-1417
Phone (718) 634-5528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160518002267 NY Order and Referring Only - DentistPractitioner - Dentist 1759670482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31091NYMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1881921096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 BEACH 133 STREET",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941417",
            "telephone_number": "718-634-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 BEACH 133 STREET",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941417",
            "telephone_number": "718-634-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURLEY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "31091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Harbor, NY

Sources for this page

Verify at the official NPI Registry.